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Arterial Line Insertion

Medicine/Nursing > Vascular Procedures
ALI_jpeg

Materials Included:

  • text-icoText
  • video-icoVideo
  • 3d-anatomyAnatomy
  • simulation-icoSimulation
  • practiseQuiz
Arterial line placement is often used in the management of critically ill patients for continuous blood pressure monitoring and also to allow frequent blood gas sampling.

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Arterial line placement is often used in the management of critically ill patients for continuous blood pressure monitoring and also to allow frequent blood gas sampling. This module teaches you how to safely prepare for and perform the insertion of an arterial line into the three main sites. Including both Learn and Test modes, the online simulator offers three clinical scenarios that test your ability to insert arterial lines into the radial, femoral, or dorsalis pedis artery (depending on the scenario). Practice the steps of the procedures online as often as you want, until you feel confident. This module is one of the foundation skills required for Year 1 post-graduate medical trainees and for specialist nurses.

 

You’ll learn

  • indications, contraindications and complications related to insertion of an arterial line
  • relevant medical terminology
  • how to perform and interpret an Allen’s test
  • to visualize the anatomy of the main arteries of the forearm
  • how to prepare for arterial blood sampling
  • the different collection sites and when to use each
  • to practice and perfect your skills in inserting arterial lines into the radial, femoral, and dorsalis pedis arteries
  • correct post-procedure considerations
  • much more (see “content details” for more specific information)
Step 1 - Preparation
Step 1.1 - Tray preparation
Step 1.2 - Patient preparation
Step 1.3 - Operator preparation
Step 2 - Cleanse the skin and infiltrate local anesthetic
Step 3 - Palpate for the pulse and insert the needle
Step 4 - Insert the catheter into the artery
Step 4.1 - Catheter-over-needle technique
Step 4.2 - Seldinger technique
Step 4.2.1
Step 4.2.2
Step 5 - Secure the catheter
  • Indications, contraindications, and complications related to this procedure
  • Correct tray set up
  • Correct positioning of the patient
  • Familiarity with the equipment
  • Examination of the pulses prior to commencing the procedure
  • When to perform and how to interpret an Allen's test
  • How to cleanse the site and infiltrate local anesthestic
  • Performance of the procedure while maintaining an aseptic technique
    • The angle of needle entry
    • The depth of needle insertion
    • Techniques for advancing the cannula into the artery
  • How to secure the cannula
  • Correct postprocedure considerations and documentation

The SIMTICS modules are all easy to use and web-based. This means they are available at any time as long as the learner has an internet connection. No special hardware or other equipment is required, other than a computer mouse for use in the simulations. Each of the SIMTICS modules covers one specific procedure or topic in detail. Each module contains:

  • an online simulation (available in Learn and Test modes)
  • descriptive text, which explains exactly how to perform that particular procedure including key terms and hyperlinks to references
  • 2D images and a 3D model of applied anatomy for that particular topic
  • a step by step video demonstration by an expert
  • a quiz
  • a personal logbook that keeps track of all the modules the learner has studied and how long

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